ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
Question 1 of 5
A nurse is assessing a child who has measles. Which of the following areas should the nurse inspect for Koplik spots?
Correct Answer: C
Rationale: The correct answer is C. Koplik spots are small, white spots with a blue-white center on the buccal mucosa opposite the molars. This area (
C) is where the nurse should inspect for Koplik spots in a child with measles. The other choices (A, B, D, E, F, G) are incorrect because Koplik spots specifically appear on the buccal mucosa and not on other areas such as the tongue (
A), palate (
B), or lips (
D).
Therefore, inspecting these areas would not help identify Koplik spots.
Question 2 of 5
A nurse is preparing a child for a lumbar puncture. In which of the following positions should the child be placed for the procedure?
Correct Answer: B
Rationale: The correct position for a child undergoing a lumbar puncture is lateral. Placing the child in a lateral position allows for easier access to the spine while keeping the spine flexed. This position helps to open up the spaces between the vertebrae, making it safer and more efficient for the procedure. The prone position (choice
A) would not provide adequate access, the supine position (choice
C) would not allow for proper flexion of the spine, and the semi-Fowler's position (choice
D) is not ideal for a lumbar puncture.
Therefore, the lateral position is the most appropriate choice for this procedure.
Question 3 of 5
A nurse is assessing a child who is 2 hr postoperative following a cardiac catheterization and finds the dressing is saturated with blood. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The correct action for the nurse to take first is to apply pressure just above the insertion site. This is crucial in controlling the bleeding and preventing further complications. By applying pressure, the nurse can help to stop the bleeding and stabilize the patient's condition. Reinforcing the dressing (choice
A) may not effectively address the immediate issue of active bleeding. Obtaining vital signs (choice
B) can wait until the bleeding is controlled. Monitoring the pulse distal to the insertion site (choice
D) is important but should come after addressing the bleeding.
Therefore, applying pressure above the insertion site is the priority to manage the immediate concern of excessive bleeding in this situation.
Extract:
A nurse is providing education to a client.
Question 4 of 5
Which of the following nonverbal techniques should the nurse use to enhance the importance of the education?
Correct Answer: C
Rationale: The correct answer is C: Smile, nod, touch the client's hand. This nonverbal technique enhances the importance of education by showing empathy, engagement, and support. Smiling conveys warmth and friendliness, nodding indicates understanding and attentiveness, and touching the client's hand can create a sense of connection and trust. These nonverbal cues help to build rapport and encourage the client to be more receptive to the information being shared.
Choice A is incorrect because checking messages on the cell phone is distracting and shows lack of interest.
Choice B is incorrect as crossing arms and avoiding eye contact can signal defensiveness or disinterest.
Choice D is incorrect as leaning over the chair may come across as too casual and unprofessional.
Extract:
Nurses' Notes (0700 hrs): 7-year-old client who weighs 18.1 kg (39.9 lb) admitted with a UTI. Child reports pain and burning upon urination and feeling like they need to go to the bathroom all the time. Child's guardian reports the client has been incontinent of urine the past 2 nights and that the urine has a very strong odor. The child appears uncomfortable and is frequently shifting positions in bed. The client has been crying intermittently and is reluctant to drink fluids. The guardian mentions that the child has been more irritable and has a decreased appetite. The child has a history of recurrent UTIs, with the last episode occurring 6 months ago; Vital Signs (0715 hrs): Heart rate: 80/min, Temperature: 38°C (100.4°F), Respiratory rate: 22/min, Blood pressure: 106/65 mm Hg; A nurse is caring for a 7-year-old child who has a urinary tract infection (UTI) in the pediatric unit.
Question 5 of 5
For each of the following interventions, click to specify if the potential intervention is anticipated or contraindicated for the client.
| Finding | Anticipated | Contraindicated |
|---|---|---|
| Advise child's guardian about the use of sunscreen | ||
| Educate the child about proper perineal hygiene | ||
| Administer salicylic acid for pain and fever | ||
| Ensure the child receives a maximum of 1,200 mL/day of fluid | ||
| Administer sulfamethoxazole and trimethoprim |
Correct Answer: B,E
Rationale: [1, 0, 0, 0, 1]
The correct answer is B,E. For the intervention "Educate the child about proper perineal hygiene" , it is anticipated as it promotes personal hygiene. Administering sulfamethoxazole and trimethoprim (E) is also anticipated as it is a common antibiotic for various infections. Advising about sunscreen (
A) is not relevant to the given scenario. Administering salicylic acid (
C) is contraindicated due to its potential side effects in children. Ensuring fluid intake (
D) is not specified in the context provided.